1100 MERRILL CREEK PKY 2019-02-11

OLT ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwa.gov I www.everettwa.gov/permits -7-7vor-loam g1 tkiet t`S 91ATION PROJECT ADDRESS: 1 100 Merrill Creek Parkway BUILDING AREA(if residential, new construction,remodel,or addition)20,000 SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: Commercial read v, x w; .. f, CONTRACT PRICE OF WORK: $ 10,000.00 NUMBER OF DEVICES (if low voltage): FIRE ALARM? 0 YES m NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: Demo existing light fixtures and install 15 light fixtures in design build department. OWNER NAME:Valley Electric TENANT NAME(If Commercial): Valley Electric OWNER MAILING ADDRESS: STREET 1100 Merrill Creek Parkway cm, Everett STATE WA ZIP 98203 OWNER PHONE: 425-407-0832 _OWNER EMAIL permits@velectric.com CONTRACTOR NAME: Valley Electric CONTRACTOR ADDRESS: STREET 1 100 Merrill Creek Parkway c,,,, Everett STATE WA zip 98203 CONTRACTOR PHONE: 425-407-0832 CONTRACTOR EMAIL: permits@velectric.com CONTRACTOR LIC.#(REQUIRED): VALLEEC141 NA CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 022558 PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 360-840-1147 Adam Kummer CONTACT EMAIL: adamk@velectric.com AGREEMENT:I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be completed whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. That I am authorized by the owner of this property to perform the work for which application is made and I comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT# g(e-74 E tie. - Owner/Authorized Agent Signature Date (Revised 9/23/2016)